TY - JOUR
T1 - Women's perspectives on cervical screening and treatment in developing countries
T2 - Experiences with new technologies and service delivery strategies
AU - Bradley, Janet
AU - Dzuba, Ilana
AU - Coffey, Patricia
AU - Bingham, Allison
AU - Arrossi, Silvina
AU - Agurto, Irene
AU - White, Sarah C.
AU - Kleine, Amy N.
AU - Lewis, Robbyn
PY - 2006/9/14
Y1 - 2006/9/14
N2 - This review of studies conducted by partners in the Alliance for Cervical Cancer Prevention (ACCP) examines women's perspectives on, and acceptability of, new cervical cancer screening and treatment approaches, management by mid-level staff, single-visit strategies, treatment side effects, and post-treatment abstinence requirements in low-resource settings. All screening, managed by female nurses and irrespective of method or constellation of methods, appeared to be highly acceptable. Similarly, cryotherapy treatment, including cryotherapy managed by nurses immediately after screening, was well-received by women in the studies. Minor side effects, although rather prevalent, and difficulties with post-treatment abstinence, did not appear to significantly deter women from recommending the procedure to friends. Rather, a sense of relief was evident, a feeling that it was better to be treated than not treated, and better to be treated sooner rather than later. While full replication may not be possible, this does not lessen the fact that screening and treatment in developing countries, even with new technologies, immediate treatment and even using mid-level providers, can be very acceptable to women if provided in a safe, caring and preferably all-female environment.
AB - This review of studies conducted by partners in the Alliance for Cervical Cancer Prevention (ACCP) examines women's perspectives on, and acceptability of, new cervical cancer screening and treatment approaches, management by mid-level staff, single-visit strategies, treatment side effects, and post-treatment abstinence requirements in low-resource settings. All screening, managed by female nurses and irrespective of method or constellation of methods, appeared to be highly acceptable. Similarly, cryotherapy treatment, including cryotherapy managed by nurses immediately after screening, was well-received by women in the studies. Minor side effects, although rather prevalent, and difficulties with post-treatment abstinence, did not appear to significantly deter women from recommending the procedure to friends. Rather, a sense of relief was evident, a feeling that it was better to be treated than not treated, and better to be treated sooner rather than later. While full replication may not be possible, this does not lessen the fact that screening and treatment in developing countries, even with new technologies, immediate treatment and even using mid-level providers, can be very acceptable to women if provided in a safe, caring and preferably all-female environment.
KW - Cervical cancer
KW - Cryotherapy
KW - HPV
KW - Prevention
KW - Screening
KW - VIA
KW - Women's perspectives
UR - http://www.scopus.com/inward/record.url?scp=33748884320&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33748884320&partnerID=8YFLogxK
U2 - 10.1300/J013v43n03_06
DO - 10.1300/J013v43n03_06
M3 - Review article
C2 - 17194680
AN - SCOPUS:33748884320
SN - 0363-0242
VL - 43
SP - 103
EP - 121
JO - Women and Health
JF - Women and Health
IS - 3
ER -